Comparison of high-intensity laser therapy and combination of transcutaneous nerve stimulation and ultrasound treatment in patients with chronic lumbar radiculopathy: A randomized single-blind study

Kolu, Emine; Büyükavcı, Raikan; Aktürk, Semra; Eren, Fatih; Ersoy, Yüksel

doi:10.12669/pjms.343.14345

Cited by 19 publications

(26 citation statements)

References 19 publications

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“…In the first group of classification (HILT and exercise) 4 studies 14,32,34,35 were about spinal pain which were matched to another group. [16][17][18]20 The average of the effect size differences was higher in the first group (1/08) for spinal pain patients. In contrast, the effect size in second group of studies was higher for knee pain patients.…”

Section: Discussionmentioning

confidence: 93%

“…3,[15][16][17][18][19] Bjordal et al showed that the overall effects of lowpower laser therapy and anti-inflammatory drugs cointerventions, were poorer than those studies without these co-interventions. 20 On the other hand, Santuzzi et al found that the combined treatment of low-level laser therapy and cyclooxygenase-2 may have better effects on wound closure and scar organization. 21 As there are increasing data available regarding the effects of HILT in musculoskeletal injuries, this study was designed to evaluate the literature assessing the influence of adding interventions to HILT on musculoskeletal pain management.…”

Section: Introductionmentioning

confidence: 99%

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The Beneficial Effects of High-Intensity Laser Therapy and Co-Interventions on Musculoskeletal Pain Management: A Systematic Review

et al. 2020

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Introduction: High-intensity laser therapy (HILT) has been used more recently in the therapeutic protocols of pain managements. Adding therapeutic interventions to laser therapy is usual in clinical practice. This study aimed to evaluate the efficacy of HILT and beneficial effects of adding cointerventions to HILT in musculoskeletal pain management. Methods: The following databases were searched up to August 2018: Medline, PubMed, EMBASE, Cochrane, Google Scholar, Springer and ISI. The keywords of pain, HILT, high power laser therapy, laser therapy, photobiomodulation, physical therapy and rehabilitation were searched. The quality of the articles was assessed using the PEDro scale. The primary measure was pain severity expected to be reported in all studies. Effect size was calculated as standardized mean differences divided by the standard deviation of either the treatment or other group. Results: Initially 52 potential studies were found. Eighteen of these studies were excluded based on title and abstract. The full text of 34 remaining articles was screened and 15 of the studies were excluded. All included studies had high quality (PEDro ≥7). Approximately, 94% of included articles (n=18) revealed positive effects of HILT on pain. The effect sizes for HILT and placebo/comparator groups were 0.9-9.11 and 0.21-11.22 respectively. Also, the differences of effect size between two groups were between 0.03 to 5.85. Conclusion: It is early to determine that HILT may be an effective non-invasive agent in the management of musculoskeletal pain, as few studies have shown its clinical efficacy. Adding related co-interventions to HILT may enhance the beneficial effects of laser therapy. The variability of the study methods and outcomes suggests that further long-term follow-up, randomized controlled clinical trials with appropriate methodological design are needed regarding the effectiveness of HILT on pain.

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Section: Discussionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

The Beneficial Effects of High-Intensity Laser Therapy and Co-Interventions on Musculoskeletal Pain Management: A Systematic Review

et al. 2020

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“…The most recent single-blind RCT by Kolu et al (24) compared the effects of HILT and a combination of transcutaneous nerve stimulation (TENS) with ultrasound therapy (UST) on pain intensity (VAS) and functional status (ODI) in 54 patients with lumbar pain caused by chronic radiculopathy. The patients were randomly divided into two groups: the first group (n=27; received 10 sessions of a combination of hot-pack, TENS, UST, and isometric lumbar exercises) and the second group (n=27; received hot-pack, isometric lumbar exercises, and HILT: 25 Hz, 10 W with 12 J/cm 2 ).…”

Section: Discussionmentioning

confidence: 99%

“…Unfortunately, it does not correspond to functional improvement in the recovery of postural control and stability. Our team will certainly continue to research laser irradiation protocols because it is worth expanding the methodology to use adequate objective measurement tools (e.g., Biodex isokinetic system, surface electromyography device, or goniometry pendulum test) (24) and increase the sample size in specific groups. We did not provide the COP analysis for each leg separately.…”

Section: Discussionmentioning

confidence: 99%

Effect of laser treatment on postural control parameters in patients with chronic nonspecific low back pain: a randomized placebo-controlled trial

Taradaj

Rajfur

et al. 2019

Braz J Med Biol Res

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The management of nonspecific lumbar pain (NSLP) using laser irradiation remains controversial. A systematic review of recently published studies indicates that the effects of laser therapy are commonly assessed using only imperfect methods in terms of measurement error. The main objective of this study was to assess static postural stability using an objective tool in patients with chronic NSLP after laser irradiation at different doses and wavelengths. In total, 68 patients were included in the laser sessions and were randomly assigned into four groups: high-intensity laser therapy at 1064 nm and 60 J/cm2 for 10 min (HILT), sham (HILT placebo), low-level laser therapy at 785 nm and 8 J/cm2 for 8 min (LLLT), and sham (LLLT placebo). In addition, all patients were supplemented with physical exercises (standard stabilization training). To assess postural stability, a double-plate stabilometric platform was used. All measurements were performed pre- and post-laser sessions (three weeks) and at follow-up time points (one and three months). Laser procedures led to more balanced posture stability in patients, although these positive changes were significant mainly for short-term observation (after 4-week therapy). In the follow-up analysis, the parameters were gradually impaired. Kruskal-Wallis analysis of variance (ANOVA) for independent variables did not show any difference between the studied groups. Low- and high-intensity laser therapy does not lead to a significant improvement in postural sway in patients with NSLP compared with standard stabilization training based on short- and long-term observations.

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“…For example, Boyraz et al did not find this difference between two methods for the treatment of pain in patients with lumbar disc protrusion 27 and Kolu et al showed a greater therapeutic effect for physiotherapy than HILT in the treatment of radiculopathy. 28 One reason for these controversies is probably the differences between study populations and the disorders which have been assessed.…”

Section: Introductionmentioning

confidence: 99%

The Comparison of The Efficacy of Photobiomodulation and Ultrasound in the Treatment of Chronic Non-specific Neck Pain: A Randomized Single-Blind Controlled Trial

et al. 2021

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Introduction: Chronic neck pain is a common complaint among office workers. The aim of the present study was to compare the efficacy of a high-intensity laser and physiotherapy in office workers who were diagnosed with chronic non-specific neck pain. Methods: This study was a single-blind randomized controlled trial, with parallel allocation. Sixty office workers with chronic neck pain, aged between 25 and 55 years, participated in the study. The participants were randomly divided into two groups: photobiomodulation (by a high-level laser) and physiotherapy. Visual analogue scale (VAS), Neck Disability Index (NDI), Neck Pain and Disability Scale (NPDS) and Bournemouth Questionnaire (BQN) were completed on three occasions (before, immediately and 2 weeks after the intervention) to assess and compare the efficacy of the high-intensity laser and physiotherapy in neck pain. Data were analyzed by SPSS 23 software using the chi-square test, Student’s t test, multivariate tests, and Fisher’s exact test. Results: The mean age of the participants was 37.53±9.52 and 41.16±7.85 years in physiotherapy and laser therapy respectively. The VAS score and NDI scores decreased after both kinds of interventions, and the effect of photobiomodulation was significantly higher than physiotherapy (P<0.001). Both treatment modalities significantly affect different aspects of chronic neck pain assessed by NDPS and BQN questionnaires and the effect of photobiomodulation was more prominent than physiotherapy. Conclusion: The findings of this study showed that photobiomodulation and physiotherapy can reduce chronic neck pain and its different aspects and the effect of laser therapy was significantly higher than physiotherapy.

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Comparison of high-intensity laser therapy and combination of transcutaneous nerve stimulation and ultrasound treatment in patients with chronic lumbar radiculopathy: A randomized single-blind study

Cited by 19 publications

References 19 publications

The Beneficial Effects of High-Intensity Laser Therapy and Co-Interventions on Musculoskeletal Pain Management: A Systematic Review

The Beneficial Effects of High-Intensity Laser Therapy and Co-Interventions on Musculoskeletal Pain Management: A Systematic Review

Effect of laser treatment on postural control parameters in patients with chronic nonspecific low back pain: a randomized placebo-controlled trial

The Comparison of The Efficacy of Photobiomodulation and Ultrasound in the Treatment of Chronic Non-specific Neck Pain: A Randomized Single-Blind Controlled Trial

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